Medical Claims Auditor (Hybrid)
Northwest Administrators, Inc, Mountlake Terrace, WA, United States
Claims Auditor - Health & Welfare (Hybrid)
Apply for the
Claims Auditor - Health & Welfare (Hybrid)
role at
Northwest Administrators, Inc .
Are you a great communicator with strong writing skills? Are you experienced in medical/dental claims processing? Do you enjoy working with people individually, and in small group settings, to help them improve their skills and performance? If this describes you, then you may be the person we’re seeking for our Claims Auditor position in our Health & Welfare group!
What you’ll be doing...
As a Health and Welfare Claims Auditor, the main focus will be to review the work completed by the Health and Welfare Medical, Dental, Vision, Time Loss and Life Claims Processors. This position requires collaboration with other auditors, outside vendors, account executives, department supervisors and managers, and medical consultants.
Perform internal audits of our Health and Welfare Claims Processors' work
Design and implement training plans for Claims Processors
Conduct training sessions for groups of new Claims Processors
Train and cross-train on plan, system and procedural changes
Respond to day-to-day referral questions
Perform random and large dollar claims audits
Coordinate vendor interaction with specific PPOs and benefit providers
Hybrid work schedule: 3 days per week in the office after completion of training. The position can be based in Seattle, Mountlake Terrace or Federal Way office.
Who you are...
Educated.
Bachelor’s degree preferred or equivalent combination of education & experience
Experienced.
Medical & Dental Claims processing; auditing/training experience preferred
Organized.
Able to prioritize work, multi‑task and work independently
Communicator.
Excellent verbal, written and interpersonal communication skills
Technically Savvy.
Intermediate level experience using Microsoft Office Suite of tools
Who we are…
Northwest Administrators, Inc. is an industry leader in third‑party administration of employee benefits. We administer one of the largest multi‑employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better‑than‑market benefits package.
If hired, you can expect...
Hourly rate range of $30.70 – $41.54 per hour (dependent upon experience & qualifications)
Medical, dental (w/Orthodontia), vision, Rx benefits, disability & life insurance
Optional benefits: health flex spending, dependent care assistance & pet insurance
Generous 401(k) plan with employer base contribution and match
Paid Vacation (10 days), Sick Leave (10 days) and Holidays (10 days)
Collaborative team environment
Work‑life balance
NWA is proud to be an Equal Employment Opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, physical or mental disability, marital status, amnesty, veteran status, citizenship, family medical history or genetic information or any other characteristic protected by local, state, or federal laws. NWA prohibits any discrimination or harassment based on any of these characteristics.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact Human Resources at HR@nwadmin.com to request accommodation.
Northwest Administrators Inc. | Privacy Policy (nwadmin.com)
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Apply for the
Claims Auditor - Health & Welfare (Hybrid)
role at
Northwest Administrators, Inc .
Are you a great communicator with strong writing skills? Are you experienced in medical/dental claims processing? Do you enjoy working with people individually, and in small group settings, to help them improve their skills and performance? If this describes you, then you may be the person we’re seeking for our Claims Auditor position in our Health & Welfare group!
What you’ll be doing...
As a Health and Welfare Claims Auditor, the main focus will be to review the work completed by the Health and Welfare Medical, Dental, Vision, Time Loss and Life Claims Processors. This position requires collaboration with other auditors, outside vendors, account executives, department supervisors and managers, and medical consultants.
Perform internal audits of our Health and Welfare Claims Processors' work
Design and implement training plans for Claims Processors
Conduct training sessions for groups of new Claims Processors
Train and cross-train on plan, system and procedural changes
Respond to day-to-day referral questions
Perform random and large dollar claims audits
Coordinate vendor interaction with specific PPOs and benefit providers
Hybrid work schedule: 3 days per week in the office after completion of training. The position can be based in Seattle, Mountlake Terrace or Federal Way office.
Who you are...
Educated.
Bachelor’s degree preferred or equivalent combination of education & experience
Experienced.
Medical & Dental Claims processing; auditing/training experience preferred
Organized.
Able to prioritize work, multi‑task and work independently
Communicator.
Excellent verbal, written and interpersonal communication skills
Technically Savvy.
Intermediate level experience using Microsoft Office Suite of tools
Who we are…
Northwest Administrators, Inc. is an industry leader in third‑party administration of employee benefits. We administer one of the largest multi‑employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better‑than‑market benefits package.
If hired, you can expect...
Hourly rate range of $30.70 – $41.54 per hour (dependent upon experience & qualifications)
Medical, dental (w/Orthodontia), vision, Rx benefits, disability & life insurance
Optional benefits: health flex spending, dependent care assistance & pet insurance
Generous 401(k) plan with employer base contribution and match
Paid Vacation (10 days), Sick Leave (10 days) and Holidays (10 days)
Collaborative team environment
Work‑life balance
NWA is proud to be an Equal Employment Opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, physical or mental disability, marital status, amnesty, veteran status, citizenship, family medical history or genetic information or any other characteristic protected by local, state, or federal laws. NWA prohibits any discrimination or harassment based on any of these characteristics.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact Human Resources at HR@nwadmin.com to request accommodation.
Northwest Administrators Inc. | Privacy Policy (nwadmin.com)
#J-18808-Ljbffr